Individual provider Active NPI

Shana Drake-Lavelle, MD

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1770146870
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD2022-0427 Issued in NM
Practice address
401 San Mateo Blvd SE
Albuquerque, NM 87108
Phone
(505) 462-7333
Fax
(505) 462-7301
NPI assigned
Apr 16, 2019
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Family Medicine Physician 207Q00000X MD2022-0427 NM Primary

Addresses

Primary practice location

401 San Mateo Blvd SE
Albuquerque, NM 87108

Mailing address

PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666

Other practice location 1

1401 William St SE
Albuquerque, NM 87102-4661
Phone (505) 768-5450

Other practice location 2

Msc Family Medicine 1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6607

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shana_lavelle@fcch.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230309002273 NM Practitioner - Family Practice 6103154927 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New Mexico School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1401 William St SE
First Choice Community Healthcare Inc
Albuquerque, NM 87102-4661
Phone (505) 768-5450

2001 Centro Familiar Blvd SW
Albuquerque, NM 87105-4592
Phone (505) 873-7400

401 San Mateo Blvd SE
Albuquerque, NM 87108-2921
Phone (505) 462-7333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Family Medicine CurrentSince Oct 22, 2024 Accepting new patients
First Choice Community Healthcare, Inc. Family Medicine CurrentSince May 3, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Oct 22, 2024 Accepting new patients
Unm Medical Group, Inc. CurrentSince Dec 20, 2022 Accepting new patients
First Choice Community Healthcare, Inc. Family Medicine CurrentSince May 3, 2024 Accepting new patients
Unm Medical Group Inc CurrentSince Dec 20, 2022 Accepting new patients
First Choice Community Healthcare, Inc. Family Medicine Current Accepting new patients
Unm Hospital Past Accepting new patients

Locations

1401 William St SE
Albuquerque, NM 87102
Phone (505) 768-5450

2001 El Centro Familiar Blvd SW
Albuquerque, NM 87105
Phone (505) 873-7462

401 San Mateo Blvd SE
Albuquerque, NM 87108
Phone (505) 462-7333

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

145 Don Pasqual Rd NW
Los Lunas, NM 87031
Phone (505) 224-8740

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Interoperability endpoints

  • Direct secure messaging: sdrakelavelle80196@direct.phs.org
  • Direct secure messaging: shana_lavelle@fcch.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1770146870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SAN MATEO BLVD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87108",
            "telephone_number": "505-462-7333",
            "fax_number": "505-462-7301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 William St SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871024661",
            "country_code": "US",
            "telephone_number": "505-768-5450",
            "fax_number": "505-842-1185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Msc Family Medicine 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-6607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRAKE-LAVELLE",
        "first_name": "SHANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2022-0427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shana_lavelle@fcch.com",
            "affiliation": "N",
            "endpointDescription": "First Choice Email",
            "address_1": "1401 William St SE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871024661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.